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NORTHWEST TELEPSYCHIATRY, P.C.

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Company Details

Name: NORTHWEST TELEPSYCHIATRY, P.C.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Inactive-Withdrawn
Date of registration: 11 Jan 2018 (8 years ago)
Financial Date End: 31 Jan 2023
Date dissolved: 06 Jul 2022
Entity Number: 633882
Place of Formation: OREGON
File Number: 633882
Principal Address: ATTN: DARIN D HONN 1000 SW BROADWAY STE 1400 PORTLAND, OR 97205
Mailing Address: DARIN D HONN STE 1400 1000 SW BROADWAY PORTLAND, OR 97205-3066

President

Name Role Address Appointed On
John Bates President 7180 S. PEAR BLOSSOM WAY, MERIDIAN, ID 83642 2020-12-16

National Provider Identifier

NPI Number:
1568025336

Authorized Person:

Name:
JOHN BATES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Withdrawal of Foreign Registration Statement 0004809712 2022-07-06
Annual Report 0004514474 2021-12-03
Annual Report 0004102121 2020-12-16
Annual Report 0003703854 2019-12-09
Annual Report 0003410049 2019-01-24

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State